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目的:比较一次全口龈下刮治与分区段龈下刮治的临床疗效。方法:选择需进行牙周洁治的慢性牙周炎患者50例,分为实验组25例和对照组25例,实验组一次全口龈下刮治,对照组分四个区段进行龈下刮治,观察3个月内治疗前后PD、BI、PI的变化,并记录患者对治疗的主观感觉和治疗后是否有发热症状。结果:实验组和对照组龈下刮治后3个月,PD、BI均显著降低,两组间无统计学差异(P<0.05);与对照组相比,实验组1个月时P(I1.09±0.57)和VAS值(0.37±0.26)显著降低,差异有统计学意义(P<0.05)。两组患者均无治疗后发热症状。结论:全口一次龈下刮治与分区段龈下刮治都可获得良好的治疗效果,全口一次龈下刮治更利于菌斑控制和短期消除治疗不适。
Objective: To compare the clinical curative effect of subgingival curettage and subgingival curettage. Methods: A total of 50 patients with chronic periodontitis requiring periodontal cleanup were selected and divided into experimental group (25 cases) and control group (25 cases). The experimental group received total subgingival scaling and the control group received subgingival scaling The changes of PD, BI and PI before and after treatment within 3 months were observed. The patients’ subjective feeling of treatment and fever after treatment were recorded. Results: Compared with the control group, the levels of P (P <0.05) in experimental group and control group at 3 months after subgingival cure were significantly lower than those in control group (P <0.05) I1.09 ± 0.57) and VAS (0.37 ± 0.26), the difference was statistically significant (P <0.05). Two groups of patients without fever symptoms after treatment. Conclusion: All subgingival curettage and sub-subgingival curettage can achieve a good therapeutic effect. A full subgingival cure is more conducive to plaque control and short-term elimination of discomfort.